Category: Ask the Experts

Editorial Note: This Q&A has been transcribed from HCPro’s On-Demand webinar, Dementia Care in Assisted Living: New Strategies for Improving Resident Centered Care presented by expert Kerry Mills, MPA. Listen here! Q: What do you do about residents who are fairly independent in getting dressed, but always wear the same thing? A: They’re probably wearing […]

In 2016, Health Insurance Portability and Accountability Act (HIPAA) enforcements and settlements hit a record high—and HIPAA’s vigilance isn’t expected to change under the new administration. Industry expert Reginald M. Hislop III, PhD, from H2 Consulting answers important questions for providers regarding HIPAA compliance and a highly talked about and talked on force: Social media. […]

Editorial Note: This post has been adapted from HCPro’s popular title Long-Term Care MDS Coordinator’s Field Guide by Carol Maher, RN-BC, RAC-CT. For content details and ordering information, visit our Marketplace! What is a care area trigger? Certain single MDS items can trigger a care area. Some care areas are triggered by comparing responses entered […]

Though long-term care (LTC) facilities are not eligible for direct funding for electronic health records (EHR) under the meaningful use program, EHRs are gaining popularity in these settings. Adoptions of EHRs in LTC can reduce medication-related errors, improve clinical documentation, and better coordinate information exchange between healthcare settings, leading to improved resident-centered care. Making the […]

AHCA’s Annual Convention will be held October 16th-19th in Nashville. Come explore the latest news in healthcare technologies, services, and solutions for long-term and post-acute care providers and organizations. Network with industry professionals from all over the country at the AHCA/NCAL Welcome Reception, with plenty of music, food, and fun! Stop by HCPro’s booth (#722) […]

Thursday, August 27; 2:30-4 pm ET Don’t miss the August 27 MLN Connects Call — five weeks before ICD-10 implementation on October 1, 2015. CMS Acting Administrator Andy Slavitt will be opening the call with a national implementation update. Then, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the […]

Q: Regarding tube feeding, I have a resident who resides in a SNF, she receives only flushes, no nutrition via PEG tube. She was skilled for a tube in the past (2013), but has not received any nutrition for a year; does she qualify for another benefit period? She is still receiving flushes with occasional feeding. […]

Q: I work in ambulance billing. I know that under Original Medicare, many non-emergent transports of bed confined and non-wheelchair patients is billable to the SNF. Is the same true for Medicare Advantage plans? Also, is there some way to tell when to bill the SNF? A: Medicare Advantage plans are not subject to consolidated billing […]

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Featured Free Resource

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

Free Resources

What will your revenue and expenses look like for a Medicare Part A resident admitted under PDPM? Find out with this free questionnaire from The Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care.

The way agencies get paid and aspects of almost all areas of business will completely shift under the new Patient-Driven Groupings Model (PDGM). We’ve partnered with industry experts and rounded up crucial action-items you won’t want to overlook as you prepare for this massive change.

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

Complimentary Networking Event for Post-Acute Leaders

Our upcoming Post-Acute Forum takes place November 18 & 19, 2019 in Phoenix, AZ. This complimentary event is specifically designed for decision-makers at skilled nursing facilities and home health agencies.